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4 Days
- Member $246
- Non-member $260
NO CAMP WEDNESDAY JAN 1
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Add New Student #3:
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Add New Student #4:
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Additional Information: |
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MEDICAL TREATMENT AUTHORIZATION
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I, we, the undersigned, parents of the minor, do hereby authorize any adult instructor of Rising Star Gymnastics as an agent for the above minor to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any physician and surgeon licensed under the provisions of the Medical Practice Act, whether such diagnosis or treatment is rendered at the physician's office or at the hospital. This authorization is given pursuant to Provisions of Section 25.8 of the Civil Code of California. This authorization is to include transportation by a Rising Star Gymnastics staff member and/or its representatives, whether paid or volunteer, to any health care facility or hospital, or the calling of an ambulance for said child should the Rising Star Gymnastics staff deem this is necessary. I, we, the undersigned, also authorize said physician or hospital to release student to gym officials or Rising Star Gymnastics staff upon completion of treatment. This is given pursuant to Section 1283 of the health and Safety Code of California.I, we, the undersigned, also authorize said physician or hospital to release student to gym officials or Rising Star Gymnastics staff upon completion of treatment. This is given pursuant to Section 1283 of the health and Safety Code of California.
I've read the above and agree.
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MINOR CONSENT AND ASSUMPTION OF RISK STATEMENT FORM
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We, the staff of Rising Star Gymnastics, recognize our obligation to make our students and their parents aware of the risks and hazards associated with the sport of gymnastics, tumbling and dance. Any activity involving height or motion creates the possibility of serious injury, paralysis and even death from landing on the neck, head and other parts of the body. Mats and pits do not eliminate this hazard.
1.With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Rising Star Gymnastics including instruction, open workouts, running and conditioning, exhibitions, competitions, or clinics in which he or she may be participating or while traveling to or from any activity sponsored by Rising Star Gymnastics.
2. I/ We recognize that it is the responsibility of each participant to practice safe gymnastics and will instruct my/our child/children accordingly.
3. I/ We fully understand and will direct the minor participant that there are risks and dangers associated with participation in gymnastics events including but not limited to bodily injury, partial and/or total disability, viral infections, bacterial infections, other communicable diseases and illnesses, paralysis and death.
4. These risks may be caused by the negligence of the participant or negligence of others and there may be other risks not known to us at this time.
5. There may be other risks or other social and economic losses either not known to me or not readily foreseeable at this time.
1.With the above in mind, and being fully aware of the risks and possibility of injury involved, I consent to have my child or children participate in the programs offered by Rising Star Gymnastics including instruction, open workouts, running and conditioning, exhibitions, competitions, or clinics in which he or she may be participating or while traveling to or from any activity sponsored by Rising Star Gymnastics.
2. I/ We recognize that it is the responsibility of each participant to practice safe gymnastics and will instruct my/our child/children accordingly.
3. I/ We fully understand and will direct the minor participant that there are risks and dangers associated with participation in gymnastics events including but not limited to bodily injury, partial and/or total disability, viral infections, bacterial infections, other communicable diseases and illnesses, paralysis and death.
4. These risks may be caused by the negligence of the participant or negligence of others and there may be other risks not known to us at this time.
5. There may be other risks or other social and economic losses either not known to me or not readily foreseeable at this time.
I've read the above and agree.
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CLAIM RELEASE
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I, my executors or other representatives, waive and release all rights and claims for damages that I or my child may have against Rising Star Gymnastics and/or it's representatives whether paid or volunteer.
I've read the above and agree.
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RELEASE
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I/We have read this release and have signed it voluntarily. I understand that once it is signed by me it is legally binding. I acknowledge having read this Agreement in its entirety.
I've read the above and agree.
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FINANCIAL AGREEMENT/CANCELLATION POLICY
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Full payment due upon enrollment. I understand my child's space will not be held until payment is made in full.
NO REFUNDS!
I have read this agreement and understand that once it is signed by me it is a legally binding and enforceable obligation and I agree to comply with all the provisions, terms and conditions set forth in this agreement.
I've read the above and agree.
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PHOTO RELEASE
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I hereby give permission for my photographs of my child to be used by Rising Star Gymnastics in newsletters, advertising, print and video media, and the Rising Star Gymnastics website. I hereby release and discharge Rising Star Gymnastics from any and all claims arising out of the use of the photograph/video/sound that I or the minor child listed may have in this regard.
I've read the above and agree.
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LATE PICK UP POLICY
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All campers must be picked no later than the camp ending time. Campers picked up 5-10 minutes late will be charged a $10 late pick up charge. Campers picked up more than 10 minutes late will be put into After Camp Club and parents will be charged the daily rate of $25.
I've read the above and agree.
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VIEWING
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There is no in-person parent viewing during camp.
I've read the above and agree.
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WHAT TO BRING
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*Snack on half days and both snack and lunch on full days, which is to be provided by parents. If your child has no snack or lunch, we will provide them with food and charge the card on file.
*Sunscreen - Campers may put on sunscreen before they arrive or bring their own sunscreen to put on. Rising Star Staff will NOT apply sunscreen to any students.
*Warm clothes - especially in the winter months, the gym can be chilly in the mornings.
*Refillable Water bottles - we have a water refilling station if needed
*Hair ties - Long hair should be pulled back with a hair tie to keep hair out of the face.
* Appropriate footwear - Woodchips from the park tend to get caught up in shoes such as flipflops and crocs.
*I understand and agree to the above policies for myself and my child.
I've read the above and agree.
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FIELD TRIP RELEASE: CAMP
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I understand my child will go to the field behind the gym for snack and lunch and other outdoor activities when it is not raining.
I've read the above and agree.
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ILLNESS PRECAUTIONS
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- No students may attend class if they are experiencing symptoms of illness including: Fever, chills, rapid breathing, shortness of breath, cough, runny nose/congestion, sneezing, extreme fatigue, sore throat, nausea or vomiting, diarrhea, headache, chills, new loss of taste or smell or any other symptoms of Covid, flu, or other virus.
*I understand and agree to the above policies for myself and my child.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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Zip:*
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